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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1361898

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1. EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)

    701 Pennsylvania Avenue, NW
    Suite 720
    Washington, DC 20004

    NOTE: Address is different than previously reported

    Email: pacservices@ddcpublicaffairs.com

2. Date: 11/07/2019

3. FEC Committee ID #: C00365072 This committee is a separate segregated fund. Its connected organization is a Corporation
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Express Scripts Inc.
1 Express Way
St. Louis, Missouri 63121
Affiliated Relationship Code: Connected Organization

Cigna Corporation Political Action Com
701 Pennsylvania Avenue, NW
Suite 720
Washington, DC 20004
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Philip Leeman
805 15th St NW - Suite 300
Washington, DC 20005
Title: Custodian of Records
Phone # (202) 830-2104

Treasurer:

Kristin Julason Damato
701 Pennsylvania Avenue, NW
Suite 720
Washington, DC 20004
Title: Treasurer
Phone # (202) 719-5557

Designated Agent(s):

Peter Sherman
805 15h St NW - Suite 300
Washington, DC 20005
Title: Assistant Treasurer
Phone # (202) 830-2106

Banks or Depositories

US Bank
1 US Bank Plaza
7th and Washington
St. Louis, Missouri 63101

Signed: Kristin Julason Damato
Date Signed: 11/07/2019

(End FEC FORM 1)

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